| NPI | 1780189456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104509) |
| 106H00000X Marriage & Family Therapist (Licence: TX 204291) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-07-13 |